Organization
BREALL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA BILLINGS (OFFICE MANAGER)
(415) 933-9100
Entity
Organization
Contact information
Practice address
2250 HAYES ST, SUITE 204, SAN FRANCISCO, CA 94117-1078
(415) 933-9100
(415) 933-9133
Mailing address
2250 HAYES ST, SUITE 204, SAN FRANCISCO, CA 94117-1078
(415) 933-9100
(415) 933-9133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
YYY20790Y
—
CA
Enumeration date
07/25/2006
Last updated
03/30/2015
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